The Language of Suicide

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Suicide Survivor Support

Language is our primary means of communication.  Language flows from human experience and, ideally, our language accurately reflects our experience and thoughts. We go through something and then we search our vocabulary to find suitable words to describe that event. 

One problem with this natural process is that we inherit language regarding our experience.  Fortunately, we don’t start from scratch when we try to describe what happens to us.  We borrow the language from people who have had the experience before us.  We use their language to describe our experience.  This process is inevitable and very valuable. 

A difficulty emerges, however, when we experience something that our inherited language doesn’t accurately or completely express.  We then try to force our experience into this accepted language.  Sometimes the language does not accurately reflect the experience which is one reason why our language adds new words each year and deletes other words that no longer apply.  Language lives and grows because human experience transcends the words we use to describe that event.

The suicide of a loved one is a case in point, and our language about suicide is something that all of us might review.  The most common way we refer to suicide is to say or write that “_______ committed suicide.”  Commit is a very harsh verb; we commit a crime or commit a sin.  That same accusatory connotation carries over when we apply it to suicide.  As a result, our most common phrase about suicide pre-judges the person as guilty.  We automatically disregard the overwhelming psychological pain a person who dies by suicide experiences, and we at least imply that the person deserves some form of punishment.  The message is that they committed a crime and/or a sin and, even though they may not have been thinking right at the time of death, they retain some significant guilt. 

It is time to erase the phrase “committed suicide’ from our thinking and vocabulary.  A more exact and sensitive way to say it is that “______died by suicide” or “died from mental illness”, or “_______ completed suicide”.  This is not just a matter of being politically correct in our speech.  It is a matter of speaking accurately about the experience of suicide and erasing some of the stigma attached to suicide.

But “committed suicide” is so deeply ingrained in our society that it is hard to eliminate it.  Some hints on how to erase the phrase from our language might be helpful:

  1. It is hard to change this language habit alone.  Make a pact with your family and friends to gently remind each other when anyone uses the term.  Awareness that we are using the phrase is the first step toward eliminating it.
  2. Make a decision that you will always say “died by suicide” or an equivalent.  Then take five minutes to reinforce that decision in your mind. 
  3. When you are alone and perhaps looking into a mirror, practice saying “died by suicide”.  It is difficult for many people to even say the word “suicide”, especially those people who are grieving the suicide of a loved one.  Listen to yourself saying “died by suicide” until you are comfortable with the phrasing. 
  4. Check e-mails and letters before you send them to make sure your language is appropriate. 
  5. If you are able, when you see the phrase “committed suicide” in print or hear it on the radio or TV, write or call the media outlet to inform them that that phrasing is inappropriate. 

 

If we all drop “committed suicide” from our language, we can make a subtle but significant impact on society and help reduce the stigma attached to suicide.  Language matters. 

 

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Talk About It

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Coping with Mental Illness

Talk it out.  Whatever the issue, talk about it.  You don’t have to talk to everyone about it, but the common advice is to speak to someone you trust about it – whatever “it” is.  Don’t keep things bottled up inside you.  Eventually it will interfere with your life, rob you of spontaneity, make you guarded and fearful, isolate you, and probably, turn into anger, resentment, negativity, and failed relationships.  Pretty heavy consequences for not talking about it, right?

  Mental illness and living with someone with mental health problems is a case in point.  Because of stigma and misunderstanding, many people do not talk about their own mental illness or the mental health issues of a loved one.  In fact, less than 20% of people with a diagnosable mental illness even seek the help they need.  Can you imagine only 20% of people with cancer or heart disease seeking help?  There is a great and destructive silence about mental illness.

 Common sense, of course, applies.  People with mental health issues and their loved ones do not need to tell everyone about these problems.  But they need to talk to someone who understands their situation, does not judge them, and who can provide some helpful information and hope for a better life.  The Karla Smith Foundation (KSF)  (www.KarlaSmithFoundation.org) promotes a strategy that says:  “Urge our loved one to maintain a supportive relationship with a therapist, counselor, or sponsor.”  At this level, “talking about it” means seeking professional help. 

 There are other dimensions to talking about mental health issues.  It often helps to talk with someone who has a similar experience.  There is an automatic connection with people who have similar problems even when there is no quick fix or easy solution.  The awareness that you share the concerns with other people reduces the burden.  The quickest way to find other people who face these issues is to join a support group.  KSF can help you find or start one of these groups.

 The silence and stigma surrounding mental illness is a primary obstacle for millions of people with a brain disorder and their families and friends.  But recovery is possible for everyone associated with a mental illness.  That recovery begins with talking about it to someone who can listen, support, encourage, and guide.  And after talking with one person, talk to another person who can help, then another, and eventually a counselor, therapist or sponsor.  Somewhere along the way, join a support group.

Mental illness is so baffling and frustrating that no one can be expected to cope with it alone.  We all need others to walk with us as we try to understand and get our lives in balance. 

Talk about it. 

 

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It’s a Brain Disorder, Not a Character Defect

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General

It’s not surprising, really.  Our bodies are extremely complex organisms, and our brain is the most complex organ in our body.  If something can go wrong with other parts of our bodies (diabetes, heart disease, hepatitis, etc.), then something can also go wrong with our brain.  We are complex; we are also fragile.

 When something does go wrong with the brain, life gets out of balance for the person affected and for the family and friends of that person.  A brain disorder doesn’t ordinarily lead to a headache, a broken bone, or anything else that can be diagnosed through a blood test, CAT scan, MRI, X-ray, or thermometer.  But it is very real. 

 A brain disorder results in changed behavior – sometimes bizarre behavior.  We call it mental illness or a mental health problem.  It is just as pervasive and destructive as physical illnesses but since we know so little about it and because there is a stigma attached to the behavior associated with mental illness, we generally don’t know how to react.  But here is the central point: it is an illness, a brain disorder, not a character defect.  Recovery means to manage the illness, not punish the person because of unacceptable behavior.

 I intend to deal with the many issues surrounding mental illness in this blog.  The primary audience is the family and friends of anyone who struggles with depression, anxiety, bipolar disorder, schizophrenia, borderline personality disorder, or any other form of mental illness.  Anyone with a brain disorder themselves, and anyone interested in this experience, is also welcome to read and comment.  I intend this blog to be a conversation, so please join in.

I am not a doctor, psychologist, or counselor, so I don’t approach these issues from a medical or clinical perspective.  I am a father whose daughter, Karla, was diagnosed with bipolar disorder at age 19 and who died by suicide in January of 2003 at age 26.  Following her death, our family (Fran, my wife, and Kevin, our son and Karla’s twin) formed the Karla Smith Foundation whose mission is to “provide hope for a balanced life to family and friends of anyone with a mental illness or who lost a loved one to suicide.”  (www.KarlaSmithFoundation.org).  

Why is this blog necessary and helpful?  I can think of three reasons: 1) Most of the information about mental illness is focused on the person who has the diagnosis.  Even when family members research these sites, the data is about the illness.  This blog will focus on the family and friends and their issues.  2) I will post articles on both mental illness and suicide, since we experienced both.  The greatest fear for many family members who try to cope with the mental illness of a loved one is a possible suicide.  We hear it often in our support groups and we felt it deeply before Karla died.  For those who lost a loved one to suicide, this blog may help them come to understand a little better why their loved one took their life.  3) My approach here will be personal and conversational, not as a professional, mental health provider, but as someone who wants to walk side by side with you as you cope with the baffling brain disorder, not character defect, of your loved one.

There is hope.  Believe it, and know that you are not alone. 

 

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Medication Monitoring

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Coping with Mental Illness

Medication is a difficult issue with all forms of mental illness.  Getting a medication program in place can be frightening and frustrating.  How effective are they?  What is the right dosage?  What are the side effects?  How do people stay on the meds?  What is the long term impact?

The family of anyone with a mental illness is right in the middle of these questions.  When a loved one struggles with medication issues, so does the family.  Sometimes even more so because the person with the illness sometimes disregards the program while the family members rely on the drugs to keep their loved one, and themselves, balanced.

One of the roles of the family members is to monitor the effect of the medication.  This monitoring role differs when the illness affects children, adolescents, or adults.  In any case, the family can observe behavioral changes as a result of changes in the medication, or non-compliance, often sooner than the persons themselves.  That’s when the monitoring kicks in full time.  That’s when it is time to Observe, Report, and Persuade.

Observe: just watch your loved one’s behavior.  Notice if there are any significant changes in thinking or acting.  This step implies that you know their thinking and behavior when they are stable.  Just notice.  Perhaps record your observations.  Maybe you can share these observations with other family members to verify that you might be on target.

Report: tell your loved one what you have noticed.  Do it gently, lovingly.  Do not accuse or blame.  Just report.

Persuade: your goal is to walk side by side with your loved one and to quietly persuade him/her to see the doctor and report the changes in thinking and acting with the possible need to change the medication.

It is a good idea to outline this approach with your loved one when he/she is stable. Say what you are going to do when the medication impact changes.  Then follow the Observe, Report, Persuade approach.  Do it gently but firmly.

 

 

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Welcome to the Karla Smith Foundation Blog

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General

We are happy to launch our Karla Smith Foundation blog which will feature insights, thoughts, reactions, and advice on topics related to mental illness and suicide.  Subscribe to our blog and we look forward to hearing your comments about our posts.

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